| NPI | 1528060233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: AZ 15854) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM 5907) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2017-02-11 |